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NBME 20 Answers

nbme20/Block 3/Question#25 (21.5 difficulty score)
A 4-week-old infant is brought to the ...
Hypertrophic pyloric stenosisπŸ”
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 +8 
submitted by hayayah(1056),
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tosM ncoomm ceasu of gasrict teolut nbootristcu ni ftn.snai leaPbalp eviashp-olde amss ni irtcepsgia rnioge, bvsiiel stciireatpl sevaw, adn ilubsoonin irpolceetj vmgnitoi ta –2∼6 ekews odl.

oUasldurnt oswhs dihcktene nda thdeegnlen spolr.uy ntrTteame is glurcasi cnosinii omooroyl.(ytp)my

lovebug  Could you explain WHY NOT (B) Gastric volvulus?? bc I think it can share some clinical symptoms. +  
calleocho305  This is what I put, wouldn't hps occur earlier than 4 weeks? +  
ssc30  Gastric volvulus is very uncommon in general and almost never happens in infants. +  
ssc30  Gastric Volvulus would also present with severe abdominal distention and pain due to incarceration. +